HomeMy WebLinkAbout920135.tiff --.
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RESOLUTION
RE: APPROVE RYAN WHITE C.A.R.E. FUNDS GRANT APPLICATION TO GOVERNOR'S AIDS
COUNCIL AND AUTHORIZE CHAIRMAN TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado,
pursuant to Colorado statute and the Weld County Home Rule Charter, is vested
with the authority of administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Ryan White C.A.R.E. Funds
Grant Application to be submitted to the Governor's AIDS Council, commencing
April 1, 1992, and ending March 31, 1993, with the further terms and conditions
being as stated in said application, and
WHEREAS, after review, the Board deems it advisable to approve said
application, a copy of which is attached hereto and incorporated herein by
reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Ryan White C.A.R.E. Funds Grant Application to be
submitted to the Governor's AIDS Council be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is,
authorized to sign said application.
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 19th day of February, A.D., 1992.
ATTEST: Ma4A7 BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Weld County Clerk to the Board
" George Ken dy, C airman
BY:-L'�ji( {� �L�O :��'Ci��Fi ?Y9iP�lt6
Deputy k to the Boar Constance L. Harbert, Pro-Tem
APPROVED AS FORM:
C. W. Ki r
ounty Attorney Go
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W. H. ebster
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STATE OF COLORADO
Governor's AIDS Council
136 State Capitol Building
Denver, CO 80203
RYAN WHITE C.A.R.E. ACT OF 1990 TITLE II FUNDS
FOR 1992 CARE SERVICES FOR PERSONS WITH HIV DISEASE
PROGRAM CATEGORY: HIV CARE CONSORTIUM
Applicant's Name Weld County Health Department for
Northern Colorado Care Consortium
Address 1517 16th Avenue Court
Greeley, CO 80631
Contact Person Elizabeth Breckenridge-Haines
Regional Resource Coordinator - _
Phone (303) 353-0639
Tax Identification
Number 84-6000813
Amount Requested $ 60,300
Date February 21, 1992
WELD COUNTY BOARD OF COMMISSIONERS WELD COUNTY HEALTH DEPARTMENT
Getge Ken edy -0 /9/9,)-. Randolph A.----6,41d-c-e-i-A-r.
M.D. , M.P.H.
Chairman Director
ATTEST: W Cou ty 1 to he Board
etildi
BY: (/Y/4 i/ �.✓--e^
Deputy Clerk to the Boar$
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1 George Kennedy, Chairman
;. To Board of County Commissioners DdLe February 18, 1992
COLORADO Fromdeannie K. Tacker, Business Manager, Health Department
Subject Ryan White C.A.R.E. Funds Grant Application
Enclosed for Board approval is a grant application to the Governor' s AIDS Council .
The Weld County Health Department (WCHD) is applying for funding in the amount
of $ 60,300 in Ryan White C.A.R.E. Title II funds.
These funds will be used to continue to meet the current goals and identified
needs of the Northern Colorado Care Consortium. Current objectives of the
consortium include: 1) increasing the number of HIV infected persons being
reached in Weld, Larimer, and Morgan counties; 2) increasing the number of
physicians and dentists being served by the consortium; 3) increasing the
number of resources available for HIV/AIDS affected persons in Northern Colorado;
and 4) expansion of the number of organizations participating in the consortium.
The funding period of the grant will be from April 1, 1992 through March 31, 1993.
If you have any questions, please feel free to contact me.
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NAME OF CONTRACTOR: WELD COUNTY HEALTH DEPARTMENT
TAX IDENTIFICATION NUMBER
PROGRAM CATEGORY: HIV CARE CONSORTIUM
Northern Colorado Care Consortium Members:
Weld County Health Department
Northern Colorado AIDS Project
United Methodist Church
Hospice of Northern Colorado
Normedco
Bonell Good Samaritan Center
HIV positive activists
Weld County AIDS Support Group
Northern Colorado AIDS Family Support Group
University of Northern Colorado
Weld County AIDS Coalition
Larimer County AIDS Coalition
Weld County Red Cross
Island Grove Regional Treatment Center
Morgan County Social Services
Northeast Colorado Health Department
Greeley Planned Parenthood
Centennial Area Health Education Center
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I. Identification of perceived need with supporting information for proposed
activities which specifies the proposed area of the state to be served.
The HIV epidemic is dynamic in that it affects many interrelated groups.
It does not discriminate against age, gender, cultural, racial or economic
groups . Effective plans for the care and education of those affected by
HIV/AIDS must take into account the demographics of the areas to be served.
Weld County is primarily an agricultural area, made up of numerous rural,
communities covering 4,034 square miles. Approximately 45% of Weld County
residents live in communities of populations less than 2,500 and 77% of the
land in Weld County is used for farming. In 1989, 14% of the population lived
in areas without a health care provider and many of these areas are 50 miles
or greater from the Denver metropolitan area. Morgan County has similar
demographics , and Larimer County contains agricultural and mountainous
regions. (X)
Women are perceived as a low risk group, yet nationwide, women and
infants consist of the fastest growing segment of the population affected by
HIV. The mothers of most infants with AIDS are intravenous drug abusers or
have been infected through sexual contact. Women of childbearing age have the
potential of becoming infected themselves and of infecting any children they
might bear. HIV infected women are often undiagnosed until they become ill or
bear an infected ill child. Many of these infants are placed in foster care
at an early age, and these foster parents and their health care providers must
be kept current in all aspects of treatment. Additionally, children with
hemophilia and their families need education about AIDS and support if they
should become infected. If these infected children reach adolescence and
adulthood, their sexual partners will need education and support also.
Although an equal number of men and women are tested at the contractor's HIV
counseling and testing center, the Weld County AIDS Coalition and the Regional
Resource Coordinator (RRC) believe that most women at risk are not being
educated or tested. In Larimer, Weld, and Morgan Counties, less than four
percent of the persons with AIDS are female which is less than the statewide
figure of six percent. Of the fifty-seven cases in Weld, Larimer, and Morgan
Counties, three have been women, and two have been children. (X) The RRC and
the Northern Colorado Care Consortium (NCCC) need greater access to
childbearing women, women at risk and children.
The incidence of AIDS and HIV infection has been greater among Hispanics
and Blacks than any other ethnic minority group. Weld and Morgan Counties
both have large numbers of Hispanics, largely due to a transient migrant
working population. There are difficulties reaching this population due to
long working hours and high mobility. Of fifty-seven AIDS cases in Weld,
Larimer, and Morgan Counties, six have been persons of Hispanic descent, and
one of the eight newly diagnosed men in Weld County is Hispanic. (X)
According to Larimer County Hospice, who cares for AIDS victims in their
final stages of disease, clients seek treatment in the Denver metropolitan
area because they feel local physicians are not kept up to date on the latest
information and treatments . While Larimer County has a more cosmopolitan
atmosphere, having at least two identified gay bars, HIV/AIDS infected people
are still not willing to share the knowledge of their infection with the
community. Due to the conservative nature of Weld and Morgan Counties, this
problem is of greater concern because the gay and lesbian population are
underground. There is concern about confidentiality and having access to the
latest care techniques. Because these areas are rural, access to services and
resources is limited and difficult to obtain.
Coordinated outreach among area agencies is necessary to provide
information to the identified high risk groups and their care providers.
Integrating AIDS prevention into the existing services provided by schools,
health care institutions and community organizations, and providing these
agencies with resources is imperative.
The Contractor is a county agency supported by county tax dollars, state
and federal grants, and fees for service provided. The mission of the
Contractor is to prevent disease and to promote the health of County citizens.
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This is accomplished by monitoring of the environment of the County and the
health of its residents; by development of policies and programs; and by
assuring that basic health services are being provided.
Presently, the Contractor provides free HIV testing and counseling. In
1991, 511 people were tested of which 8 were positive. All eight were male,
seven were white, non-Hispanic, and one was Hispanic. Eighty-seven percent of
the cases were between the ages of 20 and 34, and seven of the eight were
homosexual. (X) In Weld County between 1982 and January 1992, 23 AIDS cases
have been reported with 14 of those resulting in death. From 1982 through
January 1992, Morgan County had 7 cases reported with 6 deaths occurring, and
Larimer County had 27 cases reported with 17 deaths resulting. (X) These
statistics do not reflect the large transient population and persons who are
HIV infected which move into the 3 counties without being reported. This also
does not reflect the number of HIV infected persons which are generally
estimated at 30 persons infected for each case of AIDS . (X)
Even though most physicians and dentists do not want to be labeled as
the "AIDS doctor", physicians in Weld County have expressed a willingness to
work with HIV infected persons. Weld County has one physician who specializes
in treating infectious diseases. She currently has a case load of 70 HIV/AIDS
infected persons, and acts as a consultant to HIV/AIDS primary care providers
at North Colorado Medical Center and McKee Medical Center. North Colorado
Family Medicine Residency Program provides care to 6 cases, and one Weld
County dentist works with 3 HIV positive patients. (X)
Larimer County has 3 hospitals among which health care providers
coordinate care. They have had one pediatric HIV/AIDS case which was sent to
Children' s Hospital in Denver for treatment. Physicians, dentists, and
psycho-therapists have shown a willingness to work with HIV positive persons
as well as family members. (X)
Larimer and Morgan Counties have also taken an active stance against
HIV/AIDS. Both the Larimer County Health Department and Northeast Colorado
Health Department provide free testing and counseling. Larimer County has an
AIDS education coalition which works closely with the Northern Colorado AIDS
Project to provide the community with accurate information.
The Weld County AIDS Coalition was established in 1987 as a response to
the need for accurate information to the community about the HIV/AIDS
epidemic. "The mission of the Weld County AIDS Coalition is to educate the
community to help stop the spread of AIDS infection in Weld County and to
diminish the fears and myths associated with AIDS."(X) To date, 7000 Weld
County residents have requested information or had presentations on HIV/AIDS.
In addition, a speaker bureau of HIV positive persons or trained HIV/AIDS
instructors has been developed which can be accessed through the
Contractor. (X)
A June 1991 Governors's AIDS Council community meeting identified the
need for communication and information sharing between care providers
regarding the latest in educational opportunities, treatments and social
services resources in rural areas. In October 1991, the contractor received
$29,000 title II funds to establish the position of Regional Resource
Coordinator and the position of Client Advocate in the Northern Colorado AIDS
Project. The contractor has also been identified as lead agency for the
Northern Colorado Care Consortium.
The RRC and the Northern Colorado AIDS Project (NCAP) are the two
founding members of the NCCC. The position of Regional Resource Coordinator
is designed to meet the growing needs and demands of HIV infected persons,
families, and health care providers. Individuals with HIV, and particularly
those who are ill, have a unique set of health care needs. Fulfilling these
needs is difficult based on the lack of resources or the inaccessibility of
services. A diagnosis of HIV infection is so overwhelming that individuals
often feel helpless when trying to access the diverse services they need.
Although the Regional Resource Coordinator was not appointed until
December 1991, the RRC has assisted 9 HIV/AIDS infected persons, 6 family
members, 5 physicians, and 1 dentist in Weld County in finding resources to
fit their specific needs. Of the 9 HIV infected persons, one is a child, one
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is female and 2 were diagnosed in Denver. (X) When possible, the RRC has
individual sessions with the HIV positive persons or family members. These
sessions inform persons affected by HIV of the resources available to them
which includes information on social services, nutrition, housing, support
groups, detox programs, and drug assistance programs . In addition, the RRC
gives family members and friends basic information on HIV/AIDS , and materials
on caring for someone who is HIV positive. This information takes the form of
individualized resource packets and bulletins.
The RRC has created two bulletins focusing on the resources available in
Northern Colorado. One bulletin emphasizes issues related to HIV positive
persons, family members, and friends. The second bulletin focuses on health
care issues, drug protocols, and programs for health care providers. A
database of physicians, dentists, psychotherapists , lawyers , and social
service organizations in Weld, Larimer, and Morgan counties has been compiled
by the Regional Resource Coordinator. This database is instrumental in
contacting care providers in Northern Colorado. The HIV/AIDS support group
facilitators in Larimer and Weld Counties are kept abreast with the latest
bulletins and information dealing with their own clientele. Health care
providers are sent information through direct mailings or through the contact
person in each county.
The RRC has also contacted 27 care organizations in Weld, Larimer, and
Morgan Counties that work with persons affected by HIV/AIDS or have the
capacity to work with those affected by HIV/AIDS. (X) As a result, the RRC is
able to maintain up-to-date information concerning social services, drug
assistance programs, housing grants, discrimination, nutrition, detox
programs, etc. The RRC has not only received assistance in Northern Colorado,
but State-wide organizations and Denver based organizations have been more
than willing to offer their service in Northern Colorado.
Two people with AIDS in Weld County have offered their assistance to the
Regional Resource Coordinator. One has agreed to be a consultant for the
Contractor while the other is a volunteer for the Northern Colorado Care
Consortium. Both of these people offer valuable insight into being a PLWA.
Both people help the RRC work with different segments in the community. The
consultant aides the contractor in accessing social services, HUD, and
pharmaceutical companies. The NCCC volunteer has been HIV positive for over 10
years and understands the long-term problems faced by care organizations and
PLWAs. In addition, the volunteer helps the RRC to access the underground
homosexual community.
The position of Regional Resource Coordinator has been met with much
enthusiasm. In December 1991, the Greeley Tribune wrote an article focusing
on the resources made available by the RRC and the steps the Contractor has
taken to work with people affected by HIV/AIDS (see attachments) . The RRC
along with Centennial Area Health Education Center is presenting a conference
on Perinatal and Pediatric AIDS to physicians and nurses in Northern Colorado.
Conferences such as this benefit the physicians in Northern Colorado that work
with infants, children, and women.
NCAP is a volunteer based organization which offers emotional and
financial support, in-home needs assessments, and access to a variety of
programs for people living with HIV. NCAP provides a monthly support group
where People Living With AIDS, their families, and their friends can express
their concerns about living with HIV. The "buddy" program matches volunteer
with HIV clients who need help with day-to-day living assistance or those who
occasionally have special needs. NCAP offers financial assistance in the form
of a small one-time grant to those clients who need help with living expenses.
NCAP also deals with many people who are affected by AIDS. Many of the calls
NCAP receives are from family members or friends who live within the three
counties, even though the PLWA may live outside the service area. These
family members and friends also need the support and referrals offered by
NCAP. Through the interaction of the Client Advocate and Regional Resource
Coordinator, and NCCC clients will have easier access to a variety of programs
and resources aimed at meeting the needs of people living with HIV.
In addition to direct client support, NCAP maintains a library of
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educational materials and coordinates a speakers 's bureau. Since October
1991, NCAP speakers have addressed colleges, businesses and government
agencies on the topic of AIDS. Additionally, NCAP organizes volunteer
workshops and special seminars about various subjects relating to HIV. NCAP
publishes a quarterly newsletter, NewsCAP, that stresses NCAP resources and
activities along with general articles related to HIV infection.
In order to provide information to the general public and services to
clients, NCAP has worked with many governmental and non-profit organizations
such as Colorado State University, the Larimer and Contractors, the Larimer
County Detention Center, Poudre Valley Hospital in Fort Collins, McKee Medical
Center in Loveland, Larimer County Hospice, and the Larimer and Weld County
AIDS Education Coalition.
Since its inception in the Fall of 1986, NCAP has worked with over 35
clients who have since died. This figure does not include the clients who
have moved away from the service area or who are no longer seeking services.
In 1991, NCAP assisted 5 HIV and 6 AIDS infected persons in Weld County, 6 HIV
and 17 AIDS persons in Larimer County, and 2 AIDS infected persons in Morgan
County. (X)
The purpose of this funding request is to continue Title II funding to
the Contractor for the position of RRC and Client Advocate. The RRC and the
Client Advocate will continue to function together in a capacity to assure
early intervention services, to assist care givers in providing a high quality
continuum of care, to increase efficient use of patient care resources, to
assist HIV/AIDS families in meeting the special needs they may face.
The RRC has already taken steps to establish a NCCC. The NCCC addresses
both health and support services in Northern Colorado. This program is
designed to compliment the current health care systems already available in
each county and to encourage participation in resource sharing and patient
advocacy. The long range benefits of this education and care coordination
program is risk reduction, decreased transmission of HIV, and improved quality
of life for HIV infected persons and their families.
Although the NCCC is supported by the community, without the continued
support by the Ryan White C.A.R.E. Act, the consortium will be in jeopardy.
Due to the conservative nature of Northern Colorado, the community denies the
existence of HIV/AIDS and high risk behavior. The NCCC has the ability to
break down the barriers and facilitate support in the community. The RRC and
the NCCC play a fundamental role in Northern Colorado, and without their
services and collaborative efforts, HIV/AIDS affected persons would not be
able to access the multitude of health and support services offered in this
area.
II. Indicate the goals of this project and the measurable objectives for
achieving those goals.
One goal of the NCCC is to improve the opportunities of HIV/AIDS
infected persons, family members, friends, and health care providers to gain
access to participation in or resources concerning federal, non-profit, and
private assistance programs for HIV affected persons. The second goal of the
NCCC is to provide a network of care, including coordination of education with
the Weld County AIDS Coalition and the Larimer County AIDS Education
Coalition, support and resources to care providers , organizations , and persons
affected by HIV/AIDS. The Northern Colorado Care Consortium objectives are:
1. To increase the number of HIV infected persons being reached in
Larimer, Weld, and Morgan Counties.
2. To increase the number of physicians and dentists being served by the
NCCC.
3. To expand distribution of the NCCC newsletter to include care
organizations, lawyers, mental health workers, and agencies working with
low income families.
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4. The RRC will continue to organize and participate in NCCC meetings.
5. To identify health care provider contacts in Northeast Colorado.
6. To organize a conference on HIV issues such as Women and AIDS.
7. To expand the number of organizations participating in the NCCC
from 18 to 26.
8. To increase the number of legal, mental health, and foster care
providers willing to assist persons affected by HIV/AIDS.
9. To encourage Churches and spiritual groups in Weld, Larimer, and Morgan
Counties to become active in providing spiritual support to HIV infected
persons and family members.
10. To boost community support of HIV/AIDS affected persons.
11. To increase the knowledge of resources available for HIV/AIDS affected
persons in Northern Colorado.
12. To work with the Weld and Larimer County AIDS Education Coalition in
providing information to the community.
13. To develop a standardized tool for program evaluation.
14. To address the specific needs of HIV affected families.
III. Discuss the approach the bidder will take in organizing and implementing
the project, particularly with regard to how persons who are newly diagnosed
with HIV disease will be able to access the services described. Detail the
working relationship between all agencies and organizations providing services
to persons with HIV disease and the county health agency and the state health
agency.
The NCCC consists of public, private nonprofit, health care and support
service providers, and community-based organizations in Weld, Larimer, and
Morgan Counties. The Contractor has been identified as the lead agency in the
NCCC. Other members of the Consortium include: RRC, Northern Colorado AIDS
Project, United Methodist Church, Hospice of Northern Colorado, Normedco,
Bonell Good Samaritan Center, HIV positive activists, Weld County AIDS Support
Group, Northern Colorado AIDS Family Support Group, University of Northern
Colorado, Weld County AIDS Coalition, Larimer County AIDS Coalition, Weld
County Red Cross, Island Grove Regional Treatment Center, Morgan County Social
Services, Northeast Colorado Health Department, Greeley Planned Parenthood,
and Centennial Area Health Education Center (CAHEC) . These care organizations
are working together to provide essential health and support services to
persons affected by HIV/AIDS.
As a member of the NCCC, the Regional Resource Coordinator is
responsible for informing NCCC members of new health care resources available
to HIV infected persons. This includes collecting and disseminating any new
information concerning programs, new protocols, or legal issues to the members
of the NCCC. This information is made available at the monthly meetings as
well as through information packets to NCCC members. The RRC also links HIV
positive persons with organizations who need persons affected by HIV/AIDS to
speak to their organization or clientele. For example, the RRC is working with
the University of Northern Colorado with their AIDS Education Week in April.
The RRC is responsible for coordinating a panel of HIV infected persons, AIDS
education instructors, therapists, and family members who are willing to share
their experiences with the community.
Health care providers, especially physicians, are the major source of
access to newly HIV/AIDS diagnosed persons. The RRC will continue to work
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closely with these providers to maintain a mechanism of referral. The RRC will
continue to provide one-on-one support and resource sharing with HIV/AIDS
persons and their families. The RRC keeps in close contact with the Colorado
Health Department, Colorado Social Services ' Medicaid specialist, Community
Programs for Clinical Research on AIDS , People With AIDS Coalition, AIDS
Clinical Trials, and the Assistance for AIDS Specific Drug Program as well as
a multitude of other community based organizations.
As part of the NCCC, NCAP will continue to provide direct client support
through in-home needs assessments, referrals, and other programs. With the
funds received through the Ryan White C.A.R.E. Act, NCAP has been able to
provide more services to HIV infected people. With additional funding, the
client advocacy program can expand in Weld and Morgan Counties to better serve
clients and network with agencies within that service area. Without funding,
NCAP would have to rely solely on volunteers who would have neither the time
nor the financial means to travel within Northern Colorado.
The United Methodist Church is willing to support the consortium in the
following ways by: "providing spiritual support to some clients , families and
health care providers, assisting where possible in educating service providers
and the general public regarding the need clients have for spiritual support
and counseling, working with the consortium and other pastors to provide
spiritual counseling for all who request it,and providing meeting space for
client and family support groups."(X)
Planned Parenthood of the Rocky Mountains and other NCCC care
organizations have expressed a "willingness to support the Northern Colorado
Care Consortium in its endeavors to help meet the community needs surrounding
HIV education and care."(X) The Contractor, Northeast Colorado Health
Department, Larimer County Health Department, University of Northern Colorado,
and Planned Parenthood can offer accurate, confidential information and
referrals on all aspects of sexuality including but not limited to birth
control methods, and reproductive health care. These private and public
organizations have the ability to provide HIV/AIDS pre and post counseling and
testing.
Other educational endeavors such as outreach or bilingual AIDS education
fall under the direction of the Weld County AIDS Coalition, Larimer County
AIDS Coalition, the Contractor, Northeast Colorado Health Department, the
University of Northern Colorado, Island Grove Regional Treatment Center,
CAHEC, Planned Parenthood, and Hospice of Northern Colorado. The
collaborative effort of NCCC members will further increase the number of
people being educated in Northern Colorado and help change high risk behavior.
Normedco and Hospice of Northern Colorado provide home health care or
respite care for HIV/AIDS infected persons. These services are crucial to the
NCCC because they help HIV infected persons remain independent, and provides
cost effective alternatives to hospitalization. Hospice offers 24-hour on-
call nursing support, skilled registered nurses, certified home health aides,
social work, trained volunteers, dietary counselors, and other support
services. If home health care is not an option, the Bonell Good Samaritan
Center has facilities available for respite care. The Bonell Good Samaritan
Center is the only nursing home in Weld County willing to work with HIV/AIDS
patients.
Hospice of Northern Colorado, Northern Colorado AIDS Project, Weld
County AIDS Support Group, and Northern Colorado AIDS Family Support Group
offer support groups for persons affected by HIV. Each of these care
organizations has organized support for family members as well as persons
infected with HIV.
Island Grove Regional Treatment Center, Inc. , encompasses Residential,
Outpatient, and Detox services for substance abusers in Northern Colorado,
including IV drug users. Through education and support, Island Grove will be
able to refer clients to the RRC and offer support services to the NCCC.
The NCCC meetings are held every month and deal primarily with resource
sharing. Members are encouraged to share ideas and concerns with the
consortium. Since there has been only one formal meeting, the decision-making
process of the NCCC has yet to be defined.
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IV. Indicate the work plan for this project outlining tasks to be
accomplished and the time frame for each task to be conducted.
The Northern Colorado Care Consortium is designed to meet the growing
needs of HIV/AIDS infected persons, family members, friends, health care
providers, and care organizations by providing support and health services in
Northern Colorado. All components of the NCCC aim toward this goal. The
elements of the project will be provided to individuals without regard to
their ablility to pay for services or their health condition. The following
plan outlines the support the RRC and each consortium member will give to the
NCCC.
Furthermore, the Regional Resource Coordinator will be creating a flier
which will contain the activities and goals of the Northern Colorado Care
Consortium. These fliers will placed at every consortium member' s office to
give to HIV/AIDS affected persons or health care providers. The RRC will work
with consortia members to conduct monthly resource sharing and problem solving
meetings. These meetings will be held on the first Tuesday of the month.
These meetings will include speakers from Colorado Department of Social
Service, the HIV Interfaith Network, and HIV infected persons. The RRC will
continue to distribute a bi-monthly bulletin to care providers and clients.
This bulletin will contain current information such as drug trials , medication
cost assistance programs, new treatments, and availability of support
services.
Work plan:
By April 15, 1992, announce the award of the Ryan White C.A.R.E. Act funds to
the community to continue the NCCC.
By April 21, 1992, provide NCCC members with a tentative schedule of monthly
meetings.
By April 30, 1992, contact foster care coordinators at the three county social
service departments.
By May 31, 1992, expand participation of care organizations by 4.
By June 1, 1992, develop a strategy for reaching newly diagnosed HIV/AIDS
infected persons in Weld, Larimer, and Morgan Counties.
By July 1, 1992, develop project evaluation tool.
By July 1, 1992, contact churches and spiritual groups in Weld County to
encourage them to work with people affected by HIV/AIDS.
By July 15, 1992, submit first quarterly report to the Governor's AIDS
Council.
By August 30, 1992, translate client bulletins into Spanish.
By September 30, 1992, identify health care provider contacts in Northeast
Colorado.
By October 1, 1992, identify local resources for potential future funding.
By October 1, 1992, expand current database to include lawyers, mental health
professionals, and foster care providers.
By October 15, 1992, submit second quarterly report to the Governor's AIDS
Council.
By November 15, 1992, survey HIV/AIDS clients and physicians to see if needs
are being met.
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By November 31, 1992, expand participation of care organizations by 4.
By January 15, 1993, submit third quarterly report to the Governor' s AIDS
Council.
By January 31, 1993 , organize a conference on a current HIV/AIDS issue such as
Women and AIDS.
By February 1, 1993, expand contact of churches and spiritual groups to
include Morgan and Larimer Counties.
By March 1, 1993 , identify contacts at each of the hospitals in Weld, Larimer,
and Morgan counties.
By March 31, 1993, NCAP will provide HIV educational programs in Weld and
Morgan Counties.
By May 15, 1993, submit final report to the Governor's AIDS Council.
ONGOING ACTIVITIES:
Monthly NCCC meetings
Bi-monthly bulletins to persons affected by HIV and care providers
Resource development
Marketing - Bi-monthly Public Service Announcements
Distribution of fliers to places frequented by high risk
individuals.
Direct client contact to provide support and resources
Contact with support and health services outside the project area
Health Care Provider Contact
Dissemination of communication from Governor's AIDS Council to the NCCC
NCAP Client Advocate will submit monthly reports to the RRC
The program will continually seek evaluation by care providers, clients
and other agencies associated with HIV in order to determine effectiveness of
the methods used and to identify new unmet needs. This will be accomplished
by direct contact with NCCC participants, health care providers, and clients.
The evaluation tool will demonstrate the consortium's success in responding to
identified needs, and will illustrate the cost effectiveness of the mechanisms
used by the consortium to deliver comprehensive care.
V. Describe how the project to be undertaken will continue to be funded and
developed after 31 March 1993.
Due to the ever increasing awareness of HIV/AIDS, the Regional Resource
Coordinator, along with the support of the Contractor and the NCCC members, is
initiating community projects to assure the success of this program.
Solicitations for donations from private citizens and businesses will be
initiated.
In the future, we hope that consortia members will set aside a
percentage of their budgets to offset consortia costs. Presently, consortia
expenses consist of salary, printing, photocopying, and postage costs.
Cooperative fund raisers with the Northern Colorado AIDS Project and other
consortia members will be investigated. Due to the positive support from the
consortium members, it is hopeful that the programs and objectives of the NCCC
will continue after the March 1993 funding period ends. The Pediatrics AIDS
Conference as well as future conferences held in Northern Colorado will have
registrations fees, and any surplus will be seed money for future conferences.
Finally, the RRC is examining alternate funding sources such as grants
from the Lundy Foundation and the North Colorado Medical Center Foundation.
Other sources of funding will lessen the NCCC's dependence upon the Ryan White
C.A.R.E. Act.
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NCAP has applied for a grant with the Chicago Resource Center to fund a
part-time coordinator. NCAP has also approached businesses in Northern
Colorado for donations. These donations include monetary support and
equipment.
VI. Describe the capability of the bidder to implement this project;
demonstrate its ability to do the job and describe the qualifications of staff
carrying out the services. Provide verification of corporate status.
The Contractor is currently administering grants from the following
agencies: March of Dimes, Colorado Trust, CompreCARE and Colorado Action for
Healthy People. The Contractor has fulfilled contracts with the Colorado
Department of Health for many years for the following programs: Family
Planning, Maternity, HIV, Tuberculosis. The Contractor is administered by a
Medical Director and Business Manager. It is also part of Weld County finance
administration. The Contractor has a very good working relationship with the
other health departments and with community agencies. It is also centrally
located between the three counties.
The Contractor staff have coordinated the Weld County AIDS Coalition
since its inception and the department has been a state authorized counseling
and testing site (CTS) since 1985. The Contractor is a member of ACE and on
the CAHEC AIDS Advisory Committee. This contract, if funded, will be
administered by the Director of Community Health Nursing. The Division
Director was previously a member of the Board of Directors for ACE and NCAP as
well as a member of the Colorado Department of Education (CDE) School Nurse
AIDS Advisory Committee. Staff have expertise in tuberculosis, family
planning, and sexually transmitted disease programs. Staff are currently
providing HIV testing and counseling for the University of Northern Colorado
as well as the CTS. All counseling and testing nurses have been trained in
HIV related issues by the Colorado Department of Health and receive yearly
educational updates.
The Contractor will comply with all laws regarding non-discrimination on
the basis of age, sex, handicap, race, color, religion or national origin, in
the area of personnel practices as well as in the area of participation in
programs using these grant funds. The Contractor will also comply with all
laws regarding the provision of a drug-free work-place.
The Contractor is a 501(c) (3) tax exempt and a non-profit agency.
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• ,•••
VII. Provide a detailed budget for proposed expenditures of funds through the
proposal and separate detailed budgets by agency.
BUDGET:
TOTAL TOTAL TOTAL
IN KIND REQUESTED BUDGET
I. Personnel
Regional Resource Coordinator 29,490 29,490
Office Technician II ( .25 FTE) 3,360 3,360
Project Supervisor (0.1 FTE) 3,000 3,000
Consultant 2,600 2,600
Volunteer 450 450
NCCC Members 3,600 3,600
Subtotal $7,050 $35,450 $42,500
II. Operations
Travel 3,200 3,200
Printing 2,200 2,200
Postage 1,500 1,500
Registration 250 250
Conference Expense 2,000 2,000
Indirect 15,500 15,000
Subtotal $15,500 $9,150 $24,650
TOTAL $22,550 $44,600 $67,150
The RRC salary is based on 1.0 FTE for 12 months at $2,100/mo plus 17%
cost for benefits. The Office Technician II salary is based on 0.25 FTE for
12 months at $280 per month. The consultant will be paid $25 per hour for 2
hours per week. The estimated salary of a volunteer is based on $4.35 per
hour. No benefits are paid to part time employees, consultants or volunteers.
NCCC member salary is estimated at $25/hr for monthly meetings.
Travel costs are based on 12,800 miles at $0.25/mile for travel within
the project area as well as to Denver. Postage and printing costs will be for
printing and mailings of newsletters and bulletins. Funds for conference
expense will be used to obtain a speaker, a facility, and refreshments for the
conference. Registration fees will allow the RRC to attend two conferences
appropriate to the grant objectives.
Indirect costs consist of such things as rent, phones, computer
services, and administrative costs. These services are being provided at no
cost to the grant.
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NORTHERN COLORADO AIDS PROJECT PROGRAM BUDGET:
April 1, 1992 - March 30, 1993
In kind Requested
I. Personnel
Client Advocate 0 $11,500
( .50 FTE)
II. Operating Expenses
Telephone 0 $1,200
Postage $500
Travel 0 $3,000
III. Incidental Costs
Rent $1,200 0
Insurance (office) $150 0
Total NCAP $1,850 $15,700
BUDGET JUSTIFICATION:
The Client Advocate's salary is for .50 FETE for one year. The Client
Advocate will be hired on a personal services contract; and no benefits are
paid.
Travel costs will be reimbursed at $0.25 per mile based on 12,000 miles
within the proposed service area as well as infrequent travel to Denver.
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•
• 920135
TOTAL BUDGET REQUEST
Contractor
Personnel
Regional Resource Coordinator 29,490
Office Technician 3,360
Consultant 2,600
35,450
Operations
Travel 3,200
Printing 2,200
Postage 1,500
Training/Conferences 250
Meeting Expenses 2,000
9,150
subtotal 44,600
NCAP
Personnel
Client Advocate 11,500
Operations
Telephone 1,200
Travel 3,000
subtotal 15,700
Total Requested $60,300
Budget Options:
In the event that the amount of funding available increases or decreases, the
following options would be considered.
Funding decrease:
NCAP
1. Decrease Client Advocate FTE.
2. Decrease Client Advocate travel thereby decrease travel expenses.
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n • r.
•
Contractor
1. ARC FTE could be decreased which would decrease the number of providers,
the number of clients served and the number of resource agencies
involved.
2. Funding for postage and printing could decrease if the number of
providers and clients served decreased.
3. Funding for the HIV Conference could be eliminated. HIV information and
data could be distributed on a limited basis through the provider
bulletin.
Funding Increases:
NCAP
1. Increase Client Advocate FTE.
Contractor
1. Add a 0.50 FTE in Morgan County to do outreach.
2. Add a 0.50 FTE bi-lingual position to do outreach to the Hispanic
population.
3. Funding could be utilized to have a second conference dealing with
current HIV issues.
VIII. Provide any evidence of community support for the services to be
provided and support for the bidder or subcontractors.
See attached Letters of Support.
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mEmoRAnDum
George Kennedy, Chairman
To Board of County Commissioners Date February 18, 1992
COLORADO FromJeannie K. Tacker, Business Manager, Health Departmen . 1
subject: Ryan White C.A.R.E. Funds Grant Application
Enclosed for Board approval is a grant application to the Governor's AIDS Council .
The Weld County Health Department (WCHD) is applying for funding in the amount
of $ 60,300 in Ryan White C.A.R.E. Title II funds.
These funds will be used to continue to meet the current goals and identified
needs of the Northern Colorado Care Consortium. Current objectives of the
consortium include: 1) increasing the number of HIV infected persons being
reached in Weld, Larimer, and Morgan counties; 2) increasing the number of
physicians and dentists being served by the consortium; 3) increasing the
number of resources available for HIV/AIDS affected persons in Northern Colorado;
and 4) expansion of the number of organizations participating in the consortium.
The funding period of the grant will be from April 1, 1992 through March 31, 1993.
If you have any questions, please feel free to contact me.
920135
NLO 0/J
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